MEDLINE DIRECT LLC (NPI# 1275990566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275990566 |
| Entity Type | Organization |
| Organization Name | MEDLINE DIRECT LLC |
| Practice Address |
5828 Fresh Meadow Dr Macungie PA 18062-9589 |
| Practice Telephone | 9084481562 |
| Mailing Telephone | 6199286335 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | DR. ERIC COUSINO (MANAGER) |
| Authorized Official Telephone | 9084481562 |
| Authorized Official Credential | D.C., ATC, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
5828 FRESH MEADOW DR |
| City | MACUNGIE |
| State | PA |
| Zip Code | 18062-9589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595275 | Jesse Christopher Dugan | Chiropractor | 6690 Hauser Road, Building O Apartment 201, Macungie, PA 18062 | 2019-09-03 |
| 1710381074 | Kelly Graham Zuluaga | Speech-Language Pathologist | 4674 Berwyn Lane, Macungie, PA 18062 | 2014-10-15 |
| 1497168025 | Faith Home Health Care, Inc. | Registered Nurse | 239 Willow Street, Macungie, PA 18062 | 2014-06-11 |
| 1164793253 | Phallentz Michel | Licensed Practical Nurse | 6595 Arbordeau Lane, Macungie, PA 18062 | 2012-01-20 |
| 1982847984 | Jeremiah Edward Williams Sr. | Physical Therapy Assistant | 1718 Sprink Creek Road, Macungie, PA 18062 | 2009-04-07 |
| 1376781971 | Deanna Ligenza | Family Medicine | 6887 Sunflower Lane, Macungie, PA 18062 | 2009-02-04 |
| 1568566313 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3295 Pa Route 100, Macungie, PA 18062 | 2006-09-12 |
| 1821048349 | Arthur R Kaplan | Optometrist | 3261 Route 100, Macungie, PA 18062 | 2006-05-12 |
| 1548219736 | Desiree Nicole Mccaslin | Physical Therapist | 175 W. Main St., Macungie, PA 18062 | 2006-05-08 |
| 1194205484 | Tamatha J Urffer | Nurse Practitioner | 3760 Brookside Rd, Macungie, PA 18062 | 2018-08-16 |
| Find all providers in zip 18062 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568566313 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3295 Pa Route 100, Macungie, PA 18062 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477066 | All American Sleep Alternatives LLC | Durable Medical Equipment & Medical Supplies | 7 N Morgantown St, Fairchance, PA 15436-1180 | 2020-11-03 |
| 1487254967 | Gvm-us Inc. | Durable Medical Equipment & Medical Supplies | 274 Milton Dr, Malvern, PA 19355-8760 | 2020-10-26 |
| 1043819287 | Flores Medical Supplies | Durable Medical Equipment & Medical Supplies | 465 Pike Rd Ste 113, Huntingdon Valley, PA 19006-1622 | 2020-10-19 |
| 1174121982 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 | 2020-10-14 |
| 1275131476 | Igor Pavlo | Durable Medical Equipment & Medical Supplies | 2399 S Whittmore St, Furlong, PA 18925-1549 | 2020-10-12 |
| 1306443502 | Ati Holding LLC | Durable Medical Equipment & Medical Supplies | 5038 Pennell Rd, Aston, PA 19014-1868 | 2020-10-01 |
| 1912511270 | Aspire Home Care Services LLC | Durable Medical Equipment & Medical Supplies | 295 Wyoming Ave Suite 2f, Wyoming, PA 18644-0274 | 2020-09-03 |
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1982217253 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 245 W Race St Ste 115, Somerset, PA 15501-1922 | 2020-08-26 |
| 1609488485 | Rayaan Dhungel | Durable Medical Equipment & Medical Supplies | 814 Green Ridge St, Scranton, PA 18509-1908 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDLINE DIRECT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.